RX - Modulo d’ordine | Order Form
LENTI SU PRESCRIZIONE - Somma Sfera + [Cilindro] ( attenzione al valore massimo indicato)
PRESCRIPTION LENSES - Sum of Sphere + [Cylinder] (pay attention to the maximum indicated value)
+4.00/-6.00 Cyl. 2
12002L0 Swimmy Dark Purple
12003L0 Swimmy Black
12004L0 Swimmy Transparent Blue
12005L0 Swimmy Transparent Purple
Swimmy Transparent Green
+8.00/-8.00
12002L1 Swimmy Dark Purple
12003L1 Swimmy Black
12004L1 Swimmy Transparent Blue
12005L1 Swimmy Transparent Purple
12006L1 Swimmy Transparent Green
12002L3 Swimmy Dark Purple
12003L3 Swimmy Black
12004L3 Swimmy Transparent Blue
12005L3 Swimmy Transparent Purple 12006L3 Swimmy Transparent Green
12004L5 Swimmy Transparent Blue
12005L5 Swimmy Transparent Purple
12006L5 Swimmy Transparent Green
12002L4 Swimmy Dark Purple
12003L4 Swimmy Black
12004L4 Swimmy Transparent Blue
12005L4 Swimmy Transparent Purple
12006L4 Swimmy Transparent Green
Limiti massimi di prescrizione: vedi gruppo L5
Maximum prescription values: please refer to group L5 A. Inserisci i dati delle lenti | Enter lens data
Codice cliente | Client code
Indicare il valore di cilindro negativo - Cylinder - Please indicate negative values only
OCCHIO DESTRO/ RIGHT EYE
Sfero/ Sph. Cilindro/ Cyl. Asse/ Axis
B. Scegli il colore [x] | Choose the colour [x]
Blu trasparente
Trasparent blue
Verde acqua trasparente Trasparent green
C. Invia l’ordine tramite e-mail | Send order by e-mail
Invia il modulo in allegato all’indirizzo: nuotopersonalizzato@centrostyle.it Tempi di consegna previsti: 10-20 giorni lavorativi, in base al numero di richieste. Send the order form to the following address: exportdpt@centrostyle.it
Estimated delivery time: 15-22 working days, according to the number of requests.
OCCHIO SINISTRO/ LEFT EYE
Sfero/ Sph. Cilindro/ Cyl. Asse/ Axis
Viola trasparente Trasparent purple